Provider Demographics
NPI:1184384687
Name:EMERG N SEE CLINICAL LABS
Entity type:Organization
Organization Name:EMERG N SEE CLINICAL LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARVIND
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-977-0509
Mailing Address - Street 1:2217 PARADISE RD STE B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-2514
Mailing Address - Country:US
Mailing Address - Phone:833-504-5227
Mailing Address - Fax:
Practice Address - Street 1:2217 PARADISE RD STE B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-2514
Practice Address - Country:US
Practice Address - Phone:833-504-5227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory